ADVANCING QUICK TEXT SKILLS TO

MAXIMIZE USE AND WORKFLOWS

Geoffrey Gill, M.D., FACOG

Laura Brous, RN EMR Clinic Coordinator

QUICK TEXT AT OMG

We are currently using Quick Text to:

Add Text

Add an order – with or without a linked diagnosis

Add a Problem – with or without an end date

Send a flag – reminders for future orders

Add recent lab results

And multiple waterfalled functions

WHAT INFORMATION DO YOU NEED

TROUBLESHOOTING

If the quick text does not work use the error codes found in help to determine what type of error occurred

QUICK TEXT ERRORS

TROUBLESHOOTING

If the quick text does not work use the error codes found in help to determine what type of error occurred

QUICK TEXT SUCCESS

EASTER EGG

You can add an extra set of quotes or apostrophes to

get rid of that pesky completion or error code after

firing the quick text.

BUT! Make sure to test the outcome of the quicktext

before deleting the completion code!

{MEL_ADD_PROBLEM("DX OF","Fibroids","ICD-

218.9",str(._todaysdate))""}

HOW TO FIND QUICK TEXT ARGUMENTS

What is

required?

MEL_SEND_FLAG APPLICATION

Flag sent to Dr. Gill to view this office visit.

{MEL_SEND_FLAG("Flag", "ggill", "Important", str(._todaysdate),

"Office visit", "Please view my current note on this patient",

"documents", "")}

ADDING A PROBLEM WITH A POP UP

MEL CODE FOR RH NEG

{MEL_ADD_PROBLEM('DX OF','Rh factor, negative','ICD-

656.10')}

{MEL_SEND_FLAG("Popup

Alert","","Important",str(._todaysdate),"Rh Negative.","Needs

RhoGam","Update","")}

ABNORMAL GLUCOSE

MEL TEXT FOR GLUCOSE EXAMPLE

Abnormal 1 hour GTT. Order for 3 hour GTT placed. Please

inform patient of need for 3 hour GTT

{MEL_ADD_ORDER("T","Lab","GLUCOSE TOL OB 3

HR","","ICD-648.83","ABNORMAL GLUCOSE TOLERANCE

ANTEPARTUM")}

{MEL_ADD_PROBLEM('DX OF','ABNORMAL GLUCOSE

TOLERANCE ANTEPARTUM','ICD-648.83')}

{MEL_SEND_FLAG('Flag','sperez','Important',str(._todaysdate),'

Abnormal Lab','Please call patient to inform her of need for 3

hour GTT','Summary','')''}

MEL_ADD_PROBLEM

MEL_ADD_PROBLEM AT OMG

HOW DID THAT WORK?

IF-THEN-ELSE

If this is true, then do that, else do something

Examples

If a == b then b = “We match!” else b = “We

do not match.” endif

if (a == b and b c) then d else “” endif

HOW DID THAT WORK?

MATCH

Match(string,[start],substring)

Example

Match(OBSNOW(“ChiefCmplnt”),”vomiting”>0

HOW DID THAT WORK?

COMBINATION OF TWO FUNCTIONS

{if match(PROB_AFTER("comma"),1,"ICD-

218.9")>0 then "" else

MEL_ADD_PROBLEM("DX

OF","Fibroids","ICD-218.9",str(._todaysdate))

ENDIF}

WATERFALLING

IUD insertion video with: insertion order, iud billing, and

iud insertion problem add., medication end

Procedure with MEL

order,problem,medication list and

waterfalling

ACUTE OFFICE VISIT

QUICK TEXT CODE

.acutedysuria

Adequate hydration encouraged. Worsening signs and symptoms of UTI

discussed with patient. Will follow up based on culture results.

{MEL_ADD_PROBLEM('DX OF','Dysuria','ICD-

788.1',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}

{MEL_ADD_ORDER('T','Lab','UA W/MICRO; CULTURE IF','','ICD-

788.1','Dysuria')''}

{MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take one tablet by mouth

every 12 hours for 3 days',str(._todaysdate),

4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N')}

MORE CODE

.iudsurv

IUD strings visualized on exam. Self string checks reviewed. Bleeding and

infection precautions reviewed. Lifespan of IUD reviewed with patient as well.

{MEL_ADD_ORDER('S','Professional Services','99212 Est Patient Level

II','','ICD-V25.42','IUD Surveillance')''}

{MEL_ADD_PROBLEM('DX OF','IUD Surveillance','ICD-

V25.42',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}

WHAT IF SHE HAD AN ALLERGY ?

MATCH CODE FOR ALLERGIES

{if

match(ALL_ACTIVE("comma"),1,"CIPROFLOXACIN")>0

then

if USEROK("Patient is allergic to Cipro") = 0 or FALSE

then "" endif

else

(MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take

one tablet by mouth every 12 hours for 3

days',str(._todaysdate),

4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N'))

endif}

FETAL SURVEY EXAMPLE

QUICK TEXT BUILDER

Establish global naming guidelines at your organization. OMG established our naming based on the following:

The characters of the quick text will be divided into these three parts. All quick texts will begin with a dot, leaving 15 characters divided in three sections

Section 1 – Function of the quick text (what the quick text does) For example: add = add a problem, order = add an order other than level of service

Section 2 – Abbreviation of diagnosis, order, etc. Use a logical abbreviation of 5 or fewer characters. Set abbreviation for common diagnoses

Section 3 – Associated diagnosis code (include all digits without.) When adding a problem or associating the quick text to a specific diagnosis use all digits of the ICD code.

QUESTIONS

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

Back

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER COMPARISON

QUICK TEXT BUILDER COMPARISON

QUICK TEXT BUILDER Time Saved

Total Time Saved: 4 minutes, 15

seconds

QUICK TEXT BUILDER Set Up

QUICK TEXT BUILDER Editing For Your Location

1. Select the cells to edit

2. Click on Data and then click the drop down for Data Validation

3. Update the items in the source field to match the categories you use

QUICK TEXT BUILDER Troubleshooting

If the quick text does not work use the error codes found in help to determine what type of error occurred

QUICK TEXT BUILDER WHAT’S MOST FRUSTRATING ABOUT CREATING QUICK TEXT

Missing punctuation

Missed syntax

Extra spaces

# of clicks to even get to Quick Text interface

Size of entry box

Inability to search for ICD-9/ICD-10codes