PowerChart Basics

Admin Sex Versus Birth Sex

THIS FUNCTIONALITY WILL BE TURNED ON SOON:

As a part of the 2015 CEHRT (Certified EHR Technology) requirements, administrative sex must be documented separately from birth sex to comply with new HL7 specifications.

Please Note: Administrative sex is used for administrative purposes such as insurance billing.

Birth sex is the sex assigned at birth on the birth certificate that is used for clinical purposes.

Administrative sex is collected during registration in IDX, GE Centricity, or GPMS and is visible in Cerner on the blue banner bar. This sex value can be modified by the appropriate staff when legal documentation is presented. The modification of the administrative sex should only occur within one of the registration systems. Do not alter via a PM Conversation

To Update the Admin/Birth Sex on a patient’s Chart:

Navigate to PM Conversation along the top Tool Bar.

Click on the arrow to open to the options and select Admin/Birth Sex.

Birth sex is visible in the Admin/Birth Sex PM Conversation and will default to the same value as the administrative sex for any new patient that has never had a visit in Cerner. The birth sex value can be modified by the appropriate staff, if needed. Typically, this value is different than administrative sex for patients that have transitioned and can be modified when legal documentation is presented.  For example, if a patient is registered and arrived as a female but they were born as a male, the Admin/Birth Sex tool may state, Female/Female. This would need to be updated to reflect Female/Male (Admin/Birth sex).

The modification of the birth sex can only occur using Admin/Birth Sex PM Conversation.

As of July 2018, an initial "clean-up" of the admin/birth sex documentation was conducted. From here it is now the responsibility of the individual facilities.

Please feel free to contact any HELP desk with questions

Admin Sex vs Birth Sex Handout

,

Implant Control

,

Provider/Nurse documents the IUD in the Implant Hx.

Navigate to the Histories section under the Menu, then over to the Implants Tab.

To Manually Add Historical Implant Information

  1. Click Histories from left Table of Contents
  2. Select the Implants tab
  3. Click Add
4. Manually enter all required informatin and any other known information then click the OK button

MR Classification field is the MRI Classifications. Some implants may pose a risk in the MRI environment causing the device to malfunction.

  •  MR Safe- an item that poses no known hazards in all MRI environments; non-conducting, non-metallic, non-magnetic items
  •  MR Conditional- an item that has been demonstrated to pose no known hazards in a speficied MR environment with specified conditions to use
  •  MR Unsafe- items that pose a hazard to all MRI environments; inclue magnetic items 

Final View

Explanting Devices

When an item is explanted, simply right click over the item and chose Mark as Explanted then fill in the date and explant reason then click OK.

 

Adjusting Implant Columns

Users might like to see additional columns.

5. Right click over the column name "Description" and click Properties
6. Click the columns you want to see and click Add which will move the filters to the right side
     a. The recommendation is to add: Implant Date, Implanting Facility, Implanting Physician, Lot No.,
         Expiration Date, and Comments
     b. Highlight the Filter to adjust the order of the olumns, the recommended order is seen in the
         screenshots below.
7. Click OK to exit the Properties window

 

Implant Control Handout

,

Provider Documentation: Ad Hoc Charting

,

Documenting using Ad Hoc Forms:

1)      In the patients chart click Ad Hoc

2)      Select the Provider folder

3)      Check the desired forms and select Chart

4)      Document necessary fields. Yellow fields are required and must be documented in order to sign the form.

5)      Click the green “” in the top left corner of the form.

Identifying or Disconnecting a Citrix Server

In the bottom right-hand corner of your screen, search for the hidden icons arrow, or the icon for Citrix Receiver.

Right-click on the receiver icon and select the connection center

Highlight the active sessions you may have up and “disconnect” each one

When finished, close out and try opening PowerChart again

Note: this is also a way to tell what server you are on for future trouble-shooting calls with the HELP Desks

Name Format in PowerChart

To help in further standardizing how things look and act in PowerChart, name formatting will be updated soon. 

The new personal display will appear as follows:

First [Middle] Last [Suffix], [Credentials]

(Anything in the brackets will only show if applicable, i.e. not everyone has credentials)

This will affect the display when searching for providers as listed below.  You will be allowed to search by last name or first name. If you search by first name only the system will interpret this as last name so please enter at least a portion of first name and a portion of the last name. This will make the system look for first name and last name.

Last name, first name

First name, last name


Random Searching with Binoculars


,

For your convenience: Up-to-Date

,

UpToDate is a software system that uses evidence-based, peer reviewed information as a resource for healthcare professionals (UpToDate, 2015).

Available in PowerChart beginning November 9, 2015.

When using UpToDate, the provider will be able to receive CME Credits.

*The provider will be required to register for an account the first time they use UpToDate. 

You may get a registration page the first time you use the UpToDate search.

 

,

Macros: Creating, Modifying, Deleting

,

For assistance in the ICD-10 remediation of your macros that may contain old ICD-9 codes, here is a tutorial on how to delete a macro.  Please see the handout link below for a full macro tutorial.

Deleting a Macro

You can delete macros by doing the following:

  1. Click on the blue "M" and select the macro inserting into the note
  2. After activating the macro, right click on the field name and select Save Macro As
  3. Select the macro you wish to delete by highlighting it
  4. Select the Delete button and the Yes button if you are sure you wish to delete
  5. Finish by closing out of the box

Click HERE for a full tutorial