Instead of a dictated letter, we are now sending the office visit notes to referring physicians. Our doctors would prefer to send a document that just includes specific information. I know basic MEL and am able to create a Letter to pull information.
The problem is that I have not been able to figure out a way to only pull the information from just a specific visit. The physical exam is one example. Each physical exam item is an individual Obs term. If the doctor completes a full physical exam on an earlier date, but then only performs a partial exam today, the exam areas completed earler would pull into the letter (using Obs term LASTOBSVALUE).
Our typical workflow is that the doctor signs the visit and a designated staff member is responsible for faxing (directly from CPS) the chart note the next day. However there may be times when they want to send a Letter from a previous office visit.
I would appreciate knowing how other offices are handling the referring physician letter. Does anyone have a Letter they would be willing to share?
Typically for situations like this, I take an observation I know is recorded every visit, could be a height or weight observation, or whatever you have in your environment, and then base displaying everything on whether or not the dates match. Like below -
{if LAST_SIGNED_OBS_DATE("HEIGHT") == LAST_SIGNED_OBS_DATE("GEN APPEAR") then
LAST_SIGNED_OBS_VALUE("GEN APPEAR")
else
""
endif}
We use magic fax. Once the dictation is transcribed, it goes into the magic fax queue and at 2am they start sending. In the morning we can check to see which ones went and which didn't. Completely eliminating any personnel from touching them.
Thank you both for your responses.
The MEL worked! I wish I would have thought of that.
If our physicans were still dictating, majic fax sounds like it would be a good option.