Processing Journal Entries for Family History

Note: The following applies only if both of the following are true:

• Your practice is participating in the PACCT study.

• The patient has active journal entries (submitted using the Patient Gateway application).

1.   If you haven't already, go to the Family History module. Patients with active journal entries include the following:

• a link to the journal is indicated by the letter J.

• the date of the journal.

• a column for Patient Journal Response, added to the Family History list.

• a secondary list of items added in the journal, including items to be added from the current list (if applicable).

2.   Do one or more of the following (based on journal entries):

• add family history

  a.   Click the check box in the far left column of the Added to Journal list to select the applicable family history problem, and click Add Selected. The LMR adds the family history problem the top of the Family History list.

  b.   If you want to retain any patient-supplied information, follow the instructions to edit family history for the recently added item. Once signed, the Pt. Comments field is no longer displayed.

• edit family history

  a.   Click the family history problem to display the entry in Edit mode. All journal information for this entry is displayed in the Pt. Comments field.

  b.   You have the option to click Replace w/Pt Data to overwrite the existing structured data in the LMR with patient journal data as long it does not say "(Skipped)" or "Unsure about my family history" in the Pt. Comments field.

  c.   Make updates, as desired. If you want to retain information from the Pt. Comments field, you must copy it before completing your entry. Once signed, the Pt. Comments field is no longer displayed.

  d.   Click Ok (ALT+O).

• save the journal as a note

  a.   Click the J to display the journal in a new window.

  b.   Click Save as note.

3.   To close the family history journal topic, click the associated button. The LMR displays a verification message. Click OK.

4.   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.