On the Procedure - Urodynamics template, you can document the details of the urodynamics procedure including pre-procedure care, patient response, and procedure findings.
- On the SOAP template, select the Procedures link.
The Procedures template opens.
- In the Genitourinary section, click Urodynamics.
The
Procedure - Urodynamics template opens.
- In the Indication for Procedure section, do the following:
- Click Description, and select the diagnosis.
The code is automatically filled.
- Enter or select the date when the diagnosis is performed.
- Click Status, and select the diagnosis status from the list.
- To enter a saved default set, click Quick Load and Save.
- In the Pre-Procedure Care section, select the appropriate check boxes after explaining the procedure details to the patient.
Note: To add more information about the consent, click the Consent link.
- In the Uroflowmetry, Leak Point Pressure, and Cystometrogram sections, select the appropriate options and enter the findings of the tests performed.
- In the Impression section, select the interpretation date and enter the urodynamic study interpretations.
- Select the electromyography option.
- Enter the voiding cystourethrogram test details.
- Select the appropriate check boxes and options to document the patient's response to the procedure.
- Enter the follow-up visit instructions.
- Enter any additional information in Comments.
- To submit the procedure charges, click Submit to Superbill.
- Click Save & Close.
