Allscripts Professional EHR

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Allscripts Professional EHR™

Tips and Tricks to get the most out Allscripts Professional EHR™

NoteSwift, Inc. One Boston Place, Suite 2600 Boston, MA, 02108 www.noteswift.com

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Copyright

NoteSwift™ is a trademark of NoteSwift, Inc., in the United States or other countries. All other names and trademarks referenced herein are trademarks of NoteSwift, Inc. or their respective owners.

Designations used by third-party manufacturers and sellers to distinguish their products may be claimed as trademarks by those third-parties.

Dragon Medical Practice Edition and PowerMic™ are registered trademarks or trademarks of Nuance Communications.

Allscripts and the Allscripts logo are either registered trademarks or trademarks of Allscripts, in the United States and/or other countries.

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VcCom API

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Introduction

First Things First

1. Do you have Dragon Medical Practice Edition Installed? 2. Do you have Allscripts® Professional EHR™ installed? 3. Do you have NoteSwift™ installed?

If you can answer yes to all three, then proceed to training! If you need to install any of the programs listed above, do so before proceeding.

Assumptions:

This document assumes you are comfortable using speech recognition and that you are able to work with your EHR capably with or without speech recognition. If you are not comfortable with either, seek training before using NoteSwift.

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About This Document: Typographic Weirdness and Helpful Info

There are certain typographic conventions in this document, which, once you learn them will help with you discern what is typed, clicked, or said in each example and exercise.

 NoteSwift commands, words you say to NoteSwift when you want something to happen, are in bold and initial capitals such as History of Present Illness. Additional command alternatives will be listed in parentheses ().

 Where you need to pause your voice for a moment in between commands, we put a comma in the instruction. For example, Exam, neuro, numbness on the right foot. You would pause briefly where the commas appear. This causes NoteSwift to auto-jump™ to the next field in a NoteSwift window.

 If the NoteSwift window has a Next button, it allows entry of more than one listed item (such as in the Allergies, Medications and Social History sections of Allscripts Pro). Say or click Next to add each item into your window. When finished, say or click Done or press the Next hotkey (see below) to enter all information into the form.

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 If you are using a PowerMic hand held microphone, you have the ability to define hotkeys. The PowerMic II uses the defaults below. Find this dialog by clicking on Tools on the Dragon bar, then Options, then click on the PowerMic II tab. You can find more information on how to set your hotkeys in your PowerMic II and DMPE 2 documentation.

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NOTE: In this manual, we assume you will dictate Next and Done, or that you will use a predefined hotkey on a microphone or your keyboard to accomplish the Next and Done functions. When we say “press the Next hotkey” in an instruction, this means whatever hotkey you have defined.

The Good Doctor icon. Whenever you see this icon, it means we have some important and helpful information for you from the Good Doctor himself, Dr. Chris Russell, Founder of NoteSwift. These tips and tricks will help you learn best practices when working with NoteSwift and your EHR.

Here is your first tip from the Good Doctor! The Next hotkey can be assigned through the

NoteSwift Options menu (image below)or through the PowerMic options Image previous page)

found in Dragon Medical Practice Edition (herein after referred to as DMPE). Important: make

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Before using NoteSwift go the Dragon Toolbar. Select Tools->Options->Miscellaneous, and uncheck the “Voice-enable menus, buttons, and other controls” button:

Make sure this is unchecked. Not selected

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Download and Installation

IMPORTANT! With 2.0, the NoteSwift architecture has changed, and installation has as a result. If you access your EHR via Remote Desktop (RDP), The NoteSwift Server component must first be installed and configured on your RDP server. For more information, refer to the NoteSwift Remote Desktop

Installation Guide.

The following software installation information is strictly for installing the NoteSwift desktop client. It is the same installation whether you are using it as a thin client for Remote Desktop, or a full client supporting a local Allscripts client installation. It will function with both a local Allscripts Pro client, and a Remote Desktop session, depending on the profile you select at runtime.

To download NoteSwift on your computer, enter the download URL that was provided to you. A dialog appears asking whether you’d like to run or save the file. Select Run.

If your browser does not give you this option, you will find the file downloaded into your default downloads directory. Double-click on the file to start the installation process.

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You will be asked whether you will be running your EHR via Remote Desktop (RDP). Select the correct option and click Next.

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You’ll see a status dialog showing installation progress, and then a final window when the install successfully completes:

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Click Finish to end the installation and start NoteSwift for the first time. You’ll see the NoteSwift program, which looks like this:

Once you have created and/or selected a user profile, you can minimize the NoteSwift application during operation.

If you chose “Yes” to install the Remote Desktop components, you will be asked to reboot your system before running NoteSwift.

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Creating a NoteSwift User

To create a new user for NoteSwift you will open the NoteSwift program. Click on the Add button

IMPORTANT! If you are running NoteSwift in a Remote Desktop environment, make sure you select “Allscripts Professional (server)” as the EHR. Also, RDP users should first start their remote EHR session (which will be configured to start the NoteSwift Server at the same time) prior to running NoteSwift on the desktop.

 Enter the user

name.

 Select the EHR by

clicking on the drop down arrow.

 Click the drop down

arrow and select the version of your EHR.

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You will now see the user you added in the listing of users for NoteSwift.

Highlight the appropriate user and then click Open. This opens the specified NoteSwift user. To edit a user’s information single click on the user. Click on Change, and edit the information as needed. When finished click Done.

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NoteSwift desktop application

NoteSwift Server Allscripts Professional EHR Once you have selected a patient and initiated an encounter within Allscripts Professional EHR you are

ready to dictate a note using NoteSwift. You may start from any window, such as the Face Sheet or Patient Manager.

NoteSwift in a Remote Desktop (RDP) Environment

If you are running your EHR via Remote Desktop, your administrator will have previously set up the link with the appropriate startup procedure for you. The correct order for starting NoteSwift in this

environment is to first load your EHR, which will also silently launch the NoteSwift Server. You then start the NoteSwift application from your desktop (making sure that Dragon Medical is also running prior to launching NoteSwift). You should see the following icons on your Windows taskbar:

You will notice that there are two NoteSwift icons: one for the NoteSwift Server which is launched when you start the remote session with Allscripts Pro, the other for the NoteSwift desktop application. Both must be running in order for NoteSwift to operate. You will also notice that there is a small circular graphic on the icons that indicate the programs that are running remotely on the remote desktop server. If you click on the icon representing the NoteSwift Server, the server window will be displayed, which looks like this:

The server is launched minimized, and you would not normally have a need to view it during operation, it can stay minimized, unless you need to view it for troubleshooting purposes. If you should attempt to close the NoteSwift server, you will get a warning:

Status messages are displayed here

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Unless you are asked to do so, you should choose No. Closing the NoteSwift Server while in operation will prevent NoteSwift from working with your EHR session. If this happens, you will have to restart your remote desktop session and the NoteSwift desktop application in order to continue. If you do encounter an error with NoteSwift, the correct procedure is to bring up the NoteSwift Server by clicking on the taskbar icon (where you should see an error message in the dialog window), and clicking the Restart

button. You can then minimize the NoteSwift server window, and exit and restart the NoteSwift desktop application in order to continue working with NoteSwift.

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NoteSwift Windows

NoteSwift allows you to dictate free text narrative and structured data, where NoteSwift does the searching for you from a defined list. In this document we go through the NoteSwift windows and show you how to create the patient note quickly and easily whether you need free text or structured data. NoteSwift Windows covered in this manual are:

 Reason for Visit

 History of Present Illness  Review of Systems

 ROS Template  Past Medical History  Social History  Family History  Allergies  Current Medications  Physical Exam  Exam Template  Assessment  Plan  Prescribe

NoteSwift also has commands for Travel History, Surgical History, Pregnancy History, Diagnostic History, and Health Maintenance. These commands are similar to documenting the Social and Family History. See the NoteSwift Command Cheat Sheet at the end of the manual for a complete listing of the NoteSwift commands.

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Reason for Visit

Call up the Reason for Visit window. Say

Reason for Visit

And the Reason for Visit window appears.

The first thing that happens when the Reason for Visit appears is that your default EHR target (My Short Lists / Short Lists) will be selected. In this example, My Short Lists is the default, and there are three short list folders available. The cursor in the NoteSwift window is positioned in the Complaint field. To open a folder (a Short List item called NoteSwift Clinic was created for this tutorial), say

NoteSwift Clinic

NoteSwift will automatically select and open the folder, revealing its contents.

If you are working with a long list, such as the Master List, NoteSwift provides the power

command Search for, which will allow you to use the Allscripts search function to find the

desired complaint. Say Search for bronchitis from the Master List for example, to quickly find

and select bronchitis. If you are looking for a folder, you can also say Open <folder name>, or Choose <folder name> to open the folder and reveal its contents.

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Note that the Complaint field has been cleared, and the cursor placed there again. This allows you to quickly dictate one of the complaints within the folder.

If you want to work from a different tab, you can dictate them and NoteSwift will take you

there. You can say: Previous Complaints, My Short Lists, Short Lists or Master List.

Say Bronchitis

And the Allscripts Pro Details window will appear, allowing you to dictate Categories, findings, values and descriptive text for bronchitis:

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Say Symptoms

to reveal the findings and values for the Symptoms category. Say Cough

To enter this information, and continue adding additional findings, say

Next Finding

The finding for Cough will be entered, and NoteSwift is ready for you to dictate the next finding for Symptoms. Say

Wheezing, Next Finding

Remember that the comma means to pause, allowing NoteSwift to auto-jump™ to the next field. You dictate it as: Wheezing <pause> Next Finding .

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The default for findings is Positive. To change to a Negative finding, say

Negative

Now, say

Shortness of Breath, Next Finding

You’ll see that the “X” was selected for Shortness of Breath, indicating a negative finding Finally, say

Hemoptysis

Notice that the Negative option is still selected in the NoteSwift window. It will remain set to Negative until you dictate Positive again.

If you wish to enter free text in the note field for any finding, say

Note

And NoteSwift will move the cursor to the Note field in the NoteSwift window. Say

Sputum is clear.

You can move directly to any NoteSwift field by simply dictating the field name, such as Note .

This is also useful when you would like to go back and change your input for a given field, such as Finding.

To enter a negative finding for Hemoptysis and then move on to enter data in a new category, say

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NoteSwift has entered the negative finding and free text for Hemoptysis, then positioned the cursor at the Category field, ready for you to dictate findings in another category. Say

Onset… (spoken: “Onset ellipsis”, or “Onset dot”) Say

Week, 2, Next Category

Noteswift will select the “weeks(ago)” finding, place the value “2” with it, and be ready to enter data into another category.

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NoteSwift does not require you to always dictate an entire term exactly as it is written. You can dictate part of a finding, and NoteSwift will look for the first closest match. For example, it would be difficult to accurately dictate “week(s) ago”. But, since “week” is a word that is unique to that finding, NoteSwift locates it correctly simply by dictating Week . With practice, you’ll learn how to quickly get to the desired items, letting NoteSwift do the work for you.

To practice entering findings for more categories, here are some things you can try:

Preceding Event, An upper respiratory infection, Next Category Exacerbating Factors, Exercise, Note (to jump directly to the Note field)

Patient states that the symptoms worsen with exertion.

When you are done dictating for this complaint, you can say:

Next –to select another complaint

Done – to dismiss the NoteSwift Reason for Visit window

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History of Present Illness (Reason for Visit)

Reason for Visit is the recommended best practice for entering structured data as required for Meaningful Use. However, the HPI exists entering unstructured data into the Reason for Visit Note. Call up the History of Present Illness window. Say

HPI (or History of Present Illness)

The History of Present Illness window appears. Dictate the patients’ history. For example:

The patient comes in today with symptoms consistent with bronchitis. She complains of a cough and wheezing. Symptoms do not include shortness of breath or hemoptysis, her sputum is clear. Onset was 2 weeks ago, following an upper respiratory infection. Patient states that her symptoms worsen with exertion.

The words you dictated will appear in the HPI window. If there was existing highlighted text already in the window, the new dictation will replace it.

Say:

Done or the name of the next window, such as ROS Template .

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Other Commands Available in the HPI Window:

Recover brings back the text from a prior HPI dictation. This is useful if the text was lost from a

previous dictation. To

recover lost text or text not transferred:

 Say HPI

 Say Recover

Append moves the cursor to the end of existing text and adds additional dictation to the end of previous dictated notes.

This is useful if you have already dictated the HPI and need to add additional information.

From the HPI window click or say Append and continue with your dictation. Say HPI first

to open the HPI window and then you continue as mentioned above. Then say or click

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Creating an Alias

At times you may wish to use a familiar and/or short term instead of a more difficult one. For example, it is easier to say GERD, than Gastroesophageal Reflux Disorder. Or COPD over Chronic Obstructive Pulmonary Disorder. Or you might want to simplify the names of the templates you use in the note. If you wish – you can create Aliases which will allow you to use your preferred (or shorter) phrase.

You can create Aliases in a number of NoteSwift windows such as:  ROS Template  Exam Template  Social History  Medications  Prescribe  Plan

In this example, we will create an Alias in the ROS Template NoteSwift window. Say

ROS Template

The ROS Template window appears. Say Alias (or click on the Alias button). The Alias dialog appears.

In the field titled Spoken Alias type or dictate the term you wish to use. In this example, the spoken alias “complete female” will be defined for the Template Term “General Multi-System – Adult Female – Complete”

In the second field, Template Term, type in the Template Term exactly as it appears in the Allscripts Professional EHR, including capitalizations, spacing, and punctuation, if any.

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Documenting the Review of Systems

The ROS window allows the provider to modify an existing ROS template. NoteSwift is good at recognizing varying terms for ROS text, but it expects a certain format. Generally templates are used to document negatives, but they can be used for positives as well.

Using a Template in the ROS window:

If you would like to use a pre–existing template in the ROS window, call up your ROS template. Say ROS Template

The ROS Template window opens showing ROS templates available. In the example below, we have a NoteSwift form populated with Template Terms that have corresponding Aliases.

If you have not yet read the section on Aliases, do so now.

Speak the name of the template you wish to apply. In this example we will use the alias that we created and say

Complete Female

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Review of Systems

Call up the ROS window. Say

ROS (or Review of Systems)

The NoteSwift ROS window appears.

Say

Cough, for two weeks.

(Remember that the comma means to pause). You will see Cough entered in the Positive finding field, and then the cursor will auto-jump to the Note where the text For 2 weeks will be entered.

Then click or say Next.

If you wish to dictate a negative finding, say negative and then dictate the finding into the negative field. You can switch back to documenting positive findings by saying Positive before dictating any additional findings.

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Any note text that is dictated during the Review of Systems is added and appears beside the corresponding symptom. Present symptom notes appear in all caps. Not Present (negative) notes appear in proper case.

Reminder - The ROS form by default starts with the cursor in the Finding field and the default is set to Positive. Speak the name of the finding when the cursor is in the Finding field. NoteSwift highlights that term and jumps to the Note section. You can then optionally dictate

narrative text about that finding. Say or press Next, and the ROS is changed. When finished,

dictate your next area of documentation, such as Past Medical History.

Make sure that the toggle Navigation button is set to “on”, and the navigation

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Past Medical History

To dictate the Past Medical History into your encounter say

Past Medical

The Past Medical History window appears.

Dictate the medical condition into the Item field. In this example, we will say:

Hypertension

After you say hypertension and pause your voice, the cursor automatically jumps to the Note field. Dictate a note for the condition.

To dictate additional conditions, click or say Next and continue adding conditions as mentioned above. When finished click or say Done, or the next area of documentation such as Social History.

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Social History

Say Social History

The Social History window appears.

Dictate the social history item

Alcohol

When you pause your voice, the cursor automatically jumps to the Note field. Dictate a note for the item.

She admits to 2 glasses of wine per day with dinner.

Say Next to add additional items. Try adding data such as Living Situation, Current Work Status or Tobacco History using the above method.

Say Done or the next area of documentation such as Family History when finished adding items.

The Source defaults to Social for the search and entry. If you wish, you can also say Free Text

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Family History

Say Family History

The Family History window appears.

Say Father

The cursor will automatically jump to the Note field. Say Coronary artery disease

Press the Next button or say Next if other family history items need to be added. The history item is transferred and you are ready to dictate another item.

When all items are added click or say Done, or the next area of documentation such as Allergies. Pregnancy History and Travel History, although not covered in this manual, work in the same

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Allergies

Say Allergies to open the Allergies window Dictate an allergen into the Item field. Say Penicillin

The cursor automatically jumps to the Note section. Dictate the allergy reaction, for example,

Anaphylaxis.

Click or say Next to add another allergy. The information is transferred to the encounter in Allscripts Pro EHR. When finished, say the name of the next section you wish to move to such as Medication History,

or click or say Done.

Allscripts Professional EHR categorizes allergens into different types (Drug, Common, Drug Class). You can choose the allergen type for the particular item. When you select an allergy type for a particular item, NoteSwift remembers it the next time you dictate that item.

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If the Allscripts Pro EHR search results in more than one result, NoteSwift defaults to the first

item listed. If the first item in the list is not the one needed, single-click on the item you want

in Allscripts Pro EHR and then press the Next hotkey to transfer the data. Alternatively, you can say Item to position the cursor on the Item field, say Select all to select the previous entry, and

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Medication History

Call up the Medications History window. Say Medications.

Dictate the medications your patient is taking. In these examples, dictate the medications all in one command speaking fluidly. NoteSwift will automatically parse all the data for you and put the drug name strength and dosage all in the right places.

*Say mg as milligrams.

Lisinopril 20 mg daily Next

Low dose asprin QD Next

NoteSwift searches for the dictated medication and dosage when you pause your voice. If there are multiple medications matching your search, you can either single-click on the medication that you want, or, by dictating a more exact version of your choice. You can accomplish this by saying Clear to erase the NoteSwift field, and dictating your new selection. When you are finished, click or say Next to continue adding medications. Click or say Done when finished, or the next section you want to move to, such as Exam.

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Medications are entered as structured data and as such can be used in the Assessment and Plan to prescribe the medications. Unknown Dosages: If you do not know the dosage of a medication, dictate

unknown as the dosage.

Medication Extras:

 Number: You can specify a range, such as Lortab 1-2 daily PRN. Use the word hyphen for the dash, so say “one hyphen two” for 1-2.

 Frequency: NoteSwift understands most standard medical abbreviations such as QD, BID, and TID.

 PRN: NoteSwift supports the term PRN or as needed at the end of the dictation, along with the reason. For example, Lasix 20mg 1-2 daily PRN edema.

 No Meds: If the patient is on no meds, activate the No Current Medications button in the Medications window by saying None.

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Documenting the Physical Exam

Open the Exam Template window. Say

Exam Template

Speak the spoken term of the Alias you have created. In this example, we will use general exam.

If you have not yet read the section on Aliases, do so now.

Say General Exam

Say the next area of documentation such as Exam, or Done to apply the template.

The template window applies the template. You are now ready to dictate the physical exam.

When your Exam Template window opens, you will see the list of Aliases for templates customized for use with NoteSwift. Creating your own Aliases will allow you to use a spoken term to apply either system-delivered templates or the customized NoteSwift templates.

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Physical Exam

The physical exam window uses the search functionality within the Physical Exam to document positive and negative findings. Set-up and customization needs to have been completed by your NoteSwift implementation specialist for this to happen. If you have not had this done, you will need to document the physical exam using the point and click method. If customization has been completed follow the directions below:

After completing the above steps to apply the physical exam template Say, Exam to open the Physical Exam window.

To dictate a positive finding, make sure the cursor is in the Positive text box. You can switch between positive and negative finding by saying Positive to document the positive findings or Negative to document negative findings.

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When you pause after dictating a finding, the cursor will jump to the Note box. You can then dictate a comment related to the finding. The note is added to the note section of the finding in the Allscripts Pro EHR Physical Exam.

Say Lung Sounds, Wheezing noted bilaterally.

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Abnormal findings are noted in all caps. Notes are added to the appropriate section.

Click or say Next to continue adding information. When you are finished, click or say Done. Or, say the name of the next section you wish to move to such Assessment to document the Assessment and Plan.

Make sure that the toggle Navigation button is set to “on”, and the navigation

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Assessment

The Assessment window provides many options for entering structured data into the note. You can:  Access information from My Short Lists, Short Lists, the Patient Problem List, or search the

Master List

 Easily navigate to, and select one-click protocols

 Navigate cafeteria-style protocols, selecting diagnoses and plan items from virtually any folder structure.

 Navigate more complex structures with nested folders. Say Assessment to open the Assessment window.

The tab selected in the EHR will match whatever your system default is. In this example, we will work from My Short Lists. The Short List item “Sick Visit” was been created for this tutorial, containing two different types of protocols, as shown:

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We’ll first look at the one-click protocol for Bronchitis. In the NoteSwift Assessment window, first open the Sick Visit folder. Say

Sick Visit

You will see that NoteSwift immediately opens the folder. Whenever a folder also contains a folder named Protocols, NoteSwift will conveniently open that at the same time.

This is a cafeteria-style protocol. The available medications, procedures, education and follow-up options are stored in separate folders.

This is a one-click protocol. The medications, procedures, etc. are located with the diagnosis, and can all be entered in a single operation.

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Say Bronchitis

And NoteSwift will select the one-click protocol. To add this protocol to the Current Plans, say Next Item if you want to enter more items, or say or click Next or Done if you are done with this assessment.

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Now, we’ll take a step back and document via a cafeteria-style protocol. First delete the prior assessment in the EHR to avoid any conflicts. Then, Say

Assessment

to bring up the NoteSwift Assessment Window. To open the Sick Visit Short List item, say

Sick Visit

NoteSwift will open Sick Visit, and the Protocols: directory as it did in the first example.

Say Cough and NoteSwift will select and highlight the Cough protocol. The cursor will auto-jump to the Note field. You can dictate additional information, such as

I will order today a chest x-ray to ensure there is no underlying pneumonia. I'll also give the patient a prescription for prednisone. I will see her back in our office in 1 week.

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You will see that in the process of entering the diagnosis into the Current Plans window, the Cough folder was opened so that additional items can be added by navigating the folders within. Say

Open Medications (or Expand Medications) and the folder will open, revealing a list of medications. You can now dictate the desired items into the Item field, adding Note text if desired. For example, say

Prednisone, Next Item

And the prescription will be added with the diagnosis in the Current Plans. Here is the Cough protocol with all of the folders opened, showing the items contained within:

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You may want to create this or a similar Short List protocol for practice. To complete this assessment example, you can try the following:

Open Procedures Chest X-Ray Next Item CBC Next Item Open follow In 1 week

Click or say Next if you want to go back to the top, close all the folders to perform a new assessment or,

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More about navigation in Assessment

Dictating the name of any of the radio buttons in the NoteSwift Assessment window will select that tab in the EHR.

Selecting Search allows you to search for and select diagnoses in the master list. You can then add procedures and medications to the selected diagnosis following the assessment, via the NoteSwift Plan and Prescribe windows. This may be helpful when you need to add an additional assessment for which you don’t currently have a Short List.

By selecting Free Text, you can enter your assessment as unstructured data. Dictate the assessment in the Item field, and any narrative into the Note field. The information will be entered into the Current Plans as unstructured data.

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You can also select Patient Problem List to bring in an assessment from a previous encounter. Again, you can use the Plan and Prescribe capabilities in NoteSwift to add medications, procedures, and the like to the diagnosis.

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Plan

The NoteSwift Plan window allows you to order individual items such as procedures, labs, referrals, etc. You can enter from various sources or you may specify Short List. To use a Short List, you must first enter the information for your Short List in NoteSwift.

Setting Default Target for the Plan window

From the main NoteSwift window, select Options.

Click on the Plan tab. Choose the Default Target. If you choose Short List, enter the name of the Short List you will use.

Click Save

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Say Plan (or Orders) to open the Plan window

The target can be changed when you are in the Assessment and Plan by dictating the name of the target (e.g. Labs) you wish to search.

Select the diagnosis for which you will be adding new orders, if it is not already selected in the Current Plans window of the EHR. Dictate the order in which you want to add. If there are multiple in the list, single-click on the item that you are ordering and click or say Next.

To add a new order to the Cough diagnosis, first make sure it is highlighted in the Current Plans window. Say

CT Sinus

Select the desired choice from the search results by single-clicking, then say or click Next to add the procedure to the Current Plans for Cough.

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Continue this process until you have added all orders. When you are finished click or say Done, or the next area of documentation such as Prescribe.

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Prescribe

To order a new medication for a patient, say

Prescribe (or New Prescription) to open the Prescribe window.

Dictate the medication name, strength, dosage, number and refills. To dictate the example above you would say

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NoteSwift searches for the medication and dosage when you pause your voice. NoteSwift delivers the selected search result. If you do not single-click an entry, the first entry in the search result will be applied by default. If the desired drug/dosage dictated do not appear first on the list, click once to select the drug and dosage you need.

Click or say Next to add another medication. When finished click or say Done. Click OK to close the EHR prescription window.

If you have finished entering all desired sections of your note, click on the History and Physical icon in Allscripts Professional EHR to see what your complete patient encounter looks like:

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Amy NoteSwift

9/26/2014 10:50 AM Location: Professional Main Location Patient #: 1234Swift DOB: 5/20/1978

Married / Language: Undefined / Race: Undefined Female

History of Present Illness(Terry A Manning, MD; 9/26/2014 12:27 PM)

The patient is a 36 year old female who presents with chronic bronchitis. Symptoms include cough (Started 2 weeks ago after a cold.) and wheezing (Worsens with exertion. She is using her MDI as needed.), while symptoms do not include hemoptysis (Sputum is clear area) or shortness of breath. Onset was 2 week(s) ago. Onset followed an upper respiratory infection. Symptoms are exacerbated by exercise (Patient states that the symptoms worsen with exertion.).

Problem List/Past Medical(Terry A Manning, MD; 9/28/2014 9:06 AM)

Hypertension (401.9)

Allergies(Terry A Manning, MD; 9/26/2014 3:15 PM)

Penicillin G Benzathine & Proc *PENICILLINS*. Anaphylaxis

Medication History(Terry A Manning, MD; 9/26/2014 3:44 PM) Lisinopril (20MG Tablet, Oral daily) Active.

Low-Dose Aspirin (81MG Tablet, Oral daily) Active.

Social History(Terry A Manning, MD; 9/26/2014 2:41 PM)

Alcohol use. She admits to 2 glasses of wine per day with dinner.

Current work status

Family History(Terry A Manning, MD; 9/26/2014 2:43 PM)

Father. Coronary artery disease

Review of Systems(Terry A Manning, MD; 9/26/2014 2:15 PM)

General: Present- Feeling well. Not Present- Fatigue, Fever, Night Sweats, Weight Gain > 10lbs. and Weight Loss > 10lbs..

Skin: Not Present- Change in Wart/Mole, Itching, New Lesions and Rash.

HEENT: Not Present- Headache, Visual Disturbances, Hearing Loss, Frequent Colds, Bleeding Gums and Hoarseness.

Neck: Not Present- Swollen Glands.

Respiratory: Present- Cough (FOR 2 WEEKS.). Not Present- Difficulty Breathing.

Breast: Not Present- Breast Mass, Breast Pain, Nipple Discharge and Skin Changes.

Cardiovascular: Not Present- Chest Pain, Shortness of Breath and Swelling of Extremities.

Gastrointestinal: Not Present- Abdominal Pain, Constipation, Diarrhea, Difficulty Swallowing and Rectal Bleeding.

Female Genitourinary: Not Present- Frequency, Menstrual Irregularities, Painful Urination, Pelvic Pain, Urgency and Vaginal Discharge.

Musculoskeletal: Not Present- Calf Pain, Joint Pain and Muscle Cramps.

Neurological: Not Present- Dizziness, Numbness and Weakness.

Psychiatric: Not Present- Anxiety, Change in Sleep Pattern and Mood changes.

Endocrine: Not Present- Cold Intolerance, Excessive Thirst, Excessive Urination and Heat Intolerance.

Hematology: Not Present- Easy Bruising, Enlarged Lymph Nodes and Prolonged Bleeding.

Physical Exam(Terry A Manning, MD; 9/26/2014 4:12 PM) The physical exam findings are as follows:

General

Constitutional - Normal appearance.

Integumentary

Skin - Normal skin, Normal skin appearance and Incision clean, dry, intact consistent with normal anticipated wound healing. No skin nodules.

Head and Neck

Neck - Normal jugular pulses, Normal thyroid size and consistency without masses and Trachea midline.

Eye

Eyes - Normal lids and conjunctiva, Normal pupils and irises and Normal fundi.

ENMT

ENT - Normal external ears and nose, Normal ear canals and tympanic membranes, Normal hearing, Normal nasal mucosa, Normal mouth and Normal oropharynx.

Chest and Lung Exam

Chest - ABNORMAL LUNG SOUNDS (WHEEZING NOTED BILATERALLY.). Normal respiratory effort, Normal chest percussion and Normal chest palpation.

Cardiovascular

Cardiovascular - Normal heart sounds, Normal carotids, Normal abdominal aorta, Normal femoral pulses and Normal foot pulses. No leg edema.

Neurologic

Neuro - Normal cranial nerves, Normal strength and tone, Normal reflexes and Normal sensation.

Neuropsychiatric

Psych - Normal mood and affect and Normal mental status.

Musculoskeletal

Musculoskeletal - Normal gait, Normal digits, Normal extremities and Normal spine.

Lymphatic

Lymph - No neck lymphadenopathy, axillary lymphadenopathy or inguinal lymphadenopathy.

Assessment & Plan(Terry A Manning, MD; 9/28/2014 9:42 AM)

Cough (786.2)

Current Plans

 _{CHEST X-RAY, PA AND LATERAL (71020)}  _{CBC & PLATELETS (AUTO) (85027)}  _{Follow up in 1 week or as needed}  _{CT SINUS WO/W CON (70488)}

 _{Started PredniSONE 10MG, 1 (one) Tablet daily, #30, 09/28/2014, Ref. x3.}

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Importing / Exporting Aliases

NoteSwift provides the ability to import and export your aliases. You can import either from another user profile you have created in your NoteSwift environment, or a folder. You can export your aliases to a folder. In the NoteSwift application, select Users->Export->To Folder…

From here, you will browse to the folder where you’d like to place your alias files, optionally creating a new folder for them.

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To import from another user, select Users->Import->From User…

Here you can select another user profile and the Aliases you wish to import from it into your currently active profile.

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Select the alias files you wish to import, browse to the directory where they are located, and click Import.

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Appendix A: Command Cheat Sheet

This is the list of available commands used to call up the NoteSwift windows, and commands available within each window. In addition to what is listed in the table, you can always dictate Done, Next and

Cancel. You can also say the name of any field within a NoteSwift window, and the cursor will be placed in that field.

NoteSwift Window What to say to call up the NoteSwift

Window What else you can say

Allergies Allergies Drug, Common, Drug Class, No Allergies

Assessment Assessment

Open <item/folder>, Expand

<item/folder>, Open Item, Next Item, My Short Lists, Short Lists, Search, Free Text, Patient Problem List Diagnostic Studies Diagnostic Studies

Exam Template Exam Template Alias Family History Family History Health Maintenance Health Maintenance

History of Present Illness HPI, History of Present Illness Append, Recover Medications Medications, Meds Alias, Clear

N/A Meds Review No Meds

N/A Dictation

Past Medical History Past Medical, Past Medical History Free Text, Search, Alias Past Surgical History Past Surgical, Past Surgical History

Physical Exam Exam Alias, Positive, Negative Plan Plan, Orders

Alias, Short List, Procedure, Labs, Education, Office, Discharge Plan, Nursing, Forms, Referral

Pregnancy History Pregnancy History

Prescribe Prescribe, New Prescription Alias, Clear

Reason for Visit Reason for Visit

SearchFor <item>, Open

<item/folder>, Choose <item/folder>, Next Category, Next Finding, Previous Complaints, My Short Lists, Short Lists, Master List

Review of Systems ROS, Review of Systems Positive, Negative, Alias

ROS Template ROS Template Alias

Social History Social History Free Text, Social Travel History Travel History

Allscripts Professional EHR