Document Generic Procedure
- On the SOAP template, go to the bottom of the template and select the Procedures icon.
The Udp Procedure Picklist opens.
- Click Generic.
The Generic Procedure template opens.
- In the Pre-Procedure Care section, 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 section, do the following:
- To add a procedure description, click Procedure description, and select the details.
- To add additional procedure details, select the required information in the Additional Codes field.
- To add descriptions, click Description, and from the resulting Diagnosis window, select the appropriate description and code.
- In the Anesthesia section, to document the patient's anesthesia details, select the appropriate values.
- If anesthesia is not required, select None.
- To get additional examination details on dermatophytes specimens, select Sent to Pathology.
- Document Procedure notes, Findings, and Complications in the respective fields.
- In the Post procedure section, document the needed information in the Instructions and Dressing/wound care fields.
- In the Follow up section, select the suggested time for the follow up visit and other details.
- To add the procedure details record to the grid, click Add.
- To update the procedure details, select the record in the grid, edit the fields, and then click Update.
- To submit the charges, click Submit to Superbill.
- Click Save & Close.