- On the SOAP template, go to the bottom of the template and select the Procedures icon.
The Udp Procedure Picklist opens.
- Click Biopsy/Destruction/Shave Removal.
The
Biopsy/Destruction/Shave - Procedures template opens.
- In the Pre-Procedure Care panel, after explaining the details of the procedure to the patient select the relevant options.
Note: To add more information about the consent, select the Consent link.
- In the Procedure Care section, select No for Are you performing a procedure on a biopsy proven malignancy?.
- In the Site Details section, click Procedure and select Biopsy from the resulting list.
- Select a method.
- Use the resulting Search window to select the specific condition.
- Select a Status.
- Document the Location and Site Specific fields.
- Click Quantity and select the number of items to be biopsied.
- Select an Indication.
- Select the anesthesia being used from the picklist and enter the amount used in milliliters.
- To add the procedure to the Today's Procedures grid, click Add.
- To submit the procedure charges, click Submit Procedure Billing.
- In the Follow-up panel, record if complications occurred, how the patient tolerated the procedure and if a follow-up is necessary and other details.
- Click OK.
After completing the procedure, you can proceed to the Finalize and Checkout templates. You can finalize using the Finalize template or you can select Procedure Billing from the navigation menu.
