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OBS terms for PE-CCC?

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SLHV

(@slhv)

Posts: 478

Honorable Member

Topic starter

I am creating a letter for a Doc and would like to insert some OBS terms to reference the Neck, Chest Wall, Lungs and Heart portion of the PE-CCC form. Does anyone have any experience with this or something simliar? Thanks for your help.

Posted : November 27, 2012 7:26 am

Palko

(@palko)

Posts: 132

Estimable Member

I do have experience but I need help understanding your question. You want the obs from the PE heart portion of the exam to pull into the letter you are creating?

Posted : November 28, 2012 1:04 am

SLHV

(@slhv)

Posts: 478

Honorable Member

Topic starter

Hi Palko,

I've taken a screenshot, perhaps a visual will help illustrate what I'm trying to accomplish. I'd like the OBS from the Neck, Chest Wall, Lungs & Heart text boxes.

PE-CCC Example

Still in the learning process here so I apologize if I'm to vague. If you need more specific information please let me know.

Thanks for your help.

Posted : November 28, 2012 3:05 am

SLHV

(@slhv)

Posts: 478

Honorable Member

Topic starter

...And yes, whatever the Doc enters into those text boxes I would like to pull into the letter.

Posted : November 28, 2012 3:07 am

Beth Ann

(@beth-ann)

Posts: 135

Estimable Member

I believe this is what you are asking;

Physical Exam

GEN:

{OBSANY("GEN APPEAR")}, HEENT: {OBSANY("HEAD/NECK EX")}, {OBSANY("PUPIL EXAM")}, {OBSANY("FUNDOSCOPY")}, {OBSANY("EX INSP NOSE")},{OBSANY("NOSE")}, {OBSANY("EXT INSP EAR")}, {OBSANY("OTOSCOPY")}, {OBSANY("HEARING ASMT")}, {OBSANY("OROPHARYNX")},NECK: {OBSANY("NECK EXAM")}, NODES: {OBSANY("CERVIC NODES")}, {OBSANY("INGUIN NODES")}, THYROID: {OBSANY("THYROID EXAM")}, PULM: {OBSANY("RESP EFFORT")}, {OBSANY("AUSCUL LUNGS")},CARDIAC: {OBSANY("AUSCUL HEART")}, PERIPH VASC: {OBSANY("PEDAL PULSE")}, {OBSANY("PERIPH CIRC")}, ABDOMEN: {OBSANY("ABDOM INSP")}, {OBSANY("LIVER SPLEEN")}, MSK/EXTREMITIES/ LUE EXAM: {OBSANY("LUE EXAM")}, RUE EXAM: {OBSANY("RUE EXAM")}, LLE EXAM: {OBSANY("LLE EXAM")}, RLE EXAM: {OBSANY("RLE EXAM")}, SPINE: {OBSANY("TRUNK")},GAIT: {OBSANY("GAIT STATION")}, SKIN: {OBSANY("SKIN SQ INSP")},NEURO: {OBSANY("CRAN NERVE")}, {OBSANY("DEEP TEN RFL")}, {OBSANY("SENSA EXAM")}

Just be sure your Observation temrs match up to what you would like to show up in the letter.

Posted : November 28, 2012 6:05 am

SLHV

(@slhv)

Posts: 478

Honorable Member

Topic starter

Thanks a lot Beth! Definitely heading in the right direction now.

Posted : November 30, 2012 5:57 am

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