Processing Journal Entries for Problems

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 Problems 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 Comment, added to the problem list.

• a secondary list of Other Journal Problems, including items to be added or activated from the current list (if applicable).

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

• add problems

  a.   Click Add in the far right column of the Other Journal Problems list. The LMR displays the Add New Problem screen. All journal information for this entry is displayed in a text box preceded by Pt.Journal.

  b.   Complete the remaining fields as desired. If you want to retain any other patient-supplied information, you must copy it from the Pt.Journal text before completing your entry. Once signed, the Pt.Journal text is no longer displayed.

  c.   Click Ok (ALT+O).

• edit problems

  a.   Click the problem description to display the entry in Edit mode. All journal information for this entry is displayed in a text box preceded by Pt.Journal.

  b.   Make updates, as desired. If you want to retain any patient-supplied information, you must copy it from the Pt.Journal text before completing your entry. Once signed, the Pt.Journal text is no longer displayed.

  c.   Click Ok (ALT+O).

• activate any previously removed problems

  Click Activate in the far right column of the Other Journal Problems list.

  Note: This can only occur if the associated problem was discontinued after the journal entry was submitted by the patient.

• 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 problems 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.