Plan (Freewrite)
|
LOP / DOL
|
Impression Symptoms r/t Incident
|
Discussed Plan of Care
• • •
|
PDMP / TOX
• • •
|
Opiate Renewed
• • •
|
Medication
• • •
|
Medication (Freewrite)
|
Therapy
• • •
|
Therapy (Freewrite)
|
Injection ORDER***
• • •
|
Procedure (Freewrite)
|
|
Injection ORDER INDICATION***
|
|
DECLINED Procedure / Opt Conservative
|
Followup
|
Followup (Freewrite)
|
Imaging/Dx ORDER***
• • •
|
Imaging/Dx Comments
|
|
Lab Orders
• • •
|
Referral ORDER***
|
Referral ORDER INDICATION
|
Refer To PROVIDER
|
|
Education / Anticipatory Guidance
|
Anticipatory Guidance
|
|
BP Incidental Elevated
|
|
Weight Loss
|
Education
|
Education (Freewrite)
|
TPI
|
|
TPI (Freewrite)
|
|
TPI # of Injections
|
TPI (Single Select)
|
TPI Sites
• • •
|
|
TPI Marcaine/Depo-Medrol dosage
|
TPI Comments
|
Procedure (In Office)
|
Occipital Nerve Block
|
|
Referral Indication (ICD-10)
• • •
|