Adding Procedures

1.   If you haven't already, go to the Problems module, and click Procedures.

2.   Type at least three letters of the procedure name in the text box and click Add New (or press ENTER).

Notes:

• Can't find the entry you're looking for? Click here.

  If you don't find the procedure you want to add, try entering a different search string (more, fewer, or different letters). Although the LMR allows you to enter uncoded procedures by clicking Take as typed, doing so should be avoided. Uncoded procedures do not make full use of LMR's features and capabilities.

  • Uncoded procedures are indicated in the Procedures list by the label "[uncoded]" next to the procedure name.

  • Use the Feedback option from the Resources menu to report procedures that are missing from the LMR dictionary.

• If appropriate, click None to document that the patient has not had any procedures. This button only displays if no procedures have been entered.

3.   From the search results, select the procedure.

4.   If desired, add a Result, Location, and Procedure Date.

5.   If desired, click into the Comments field and type additional information related to this procedure. You can also use custom paragraphs to save time typing common text.

Note: You can also choose to have this procedure added as a favorite for you or your practice.

6.   Click Ok or Ok-Add New.

7.   If you want to save your work now, click Sign (F10). The LMR indicates the changes that will be saved. Type your key and click Sign.

8.   Depending on your set up, you may be prompted to select a cosigner or sign for a provider. See Selecting a Cosigner and Signing and Saving for a Provider.

Related Topics

Adding Favorites

Changing Procedures

Working with Custom Paragraphs