- Clinic Name : This is the title that will appear along the header of your reports.
- Business Name : This is uneditable. Thifield holds the subdomain of your Chart Talk URL.
- City: *Field is Redundant/Scheduled to be removed*
- Tax Rate: Tax rate applied to codes marked ‘isTaxable’
Tag: 3/3
Charges
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Filters- use to search for specific visit(s) in the ‘Charges Screen’
- Insured/Non Insured – Display list for patients with insured type primary payers/Display list for patients with non-insured type primary payers
- Charge ID
- Last Name, First Name
- Filter – Apply filters
- Reset – Clear all filters
- Process for billing – Process selected claim(s) for billing
- Expand details
- Charge ID
- Visit Time
- Duration
- Patient Name- click it will bring you to the patients dashboard
- Staff Name/ Seen by
- Payer Name
- Trash Bin – Delete charge and reset appointment status or process single charge to billing.
Actions
Data Columns
Past Illness
- Create Button – Add past illness to patient record
- Illness
- Status
- Diagnosis
- Delete
- Edit
- Illness
- Diagnosis Year
- SNOMED Code
- Status – Active/Inactive
Column Data
Medication Library
The medication library is a comprehensive list of all medication available to be selected for the individual patient medication list.
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- Search Box- Type part or all of a medication name *NOTE – does not dynamically filter list
- Filter Button- Limits the list results to values containing text from the Search Box
- Add Medicine Button- If filter returns no results, this button will add the medication to the library and search for RxNorm values matching the medication name
- Recode Button –
- When Medication is selected – Select a medication from the list by clicking on the row. Press recode while a medication is selected will search for a match in the NLM and return the RxNorm value.
- When no medication is selected – Chart Talk will attempt to recode the entire medication library. *This can be data intensive and we advise you to only do this after business hours to keep other Chart Talk functionality responsive for all users.
- Medicine Name Column – Text value of medication
- RxNorm ID Column – coded value of medication
- List Navigation Controls – Page forward, backward, jump to page.
SUBMENU: Medical
NAVIGATION:
- Access the patient page
- Expand the Medical Menu from the Patient Navigation Menu<
- Select the Submenu item
The Medical tab is in the Patient Navigation Menu for each Patient. By clicking on the arrow at the right side of the tab, a drop down list will display. This list includes: Problem List, Vitals, Family History, Social History, Past Illness, Hospitalization, Injuries and Medications and Allergies. Click on each tab to be able to create, review or update records.
An overview of the Medical Tab can be seen from the Dashboard Tab also. Any tab on the Dashboard that has a plus sign can have data entered through the Dashboard and will store with in the selected Medical Sub-menu.
File Cabinet
NAVIGATION:
- Access the patient page
- Select File Cabinet from the navigation menu.
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A. Drop down filter allows you to limit which documents are visible in the File Cabinet list (B).
B. The File Cabinet list shows document details as well as provides a link (pencil icon) to open the document for review, modification and printing.
C. The Convert button moves attached files from the outdated Chart Talk Desktop document structure into the supported Chart Talk Cloud architecture.
D. The create button opens a new record.
CREATE:
A. Document Name- allows you to create and customize the name of your document.
B. Document Type- list shows various pre-loaded document types or classifications. When selecting a document that is already loaded into the interface, the template previously saved will populate and allow user to customize report for the patient visit and save into their file cabinet.(see sample of narrative report and MVA report in Narrative Templates below).
C. The Upload File button allows user to upload a previously saved document from their desktop or external files.
D. Narrative text- allows the user to draft a new document from scratch.
Vitals
Vitals Record List
- Access the patient page
- Expand the Medical Menu
- Select Vitals
Add Vitals from Vitals Widget
- Access the patient dashboard
- Click the ‘+’ sign on the bar above the graph.Medical Menu
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ENTERING DATA:
From the Vitals Record List, select the pencil icon to edit a record or the Add New Vital button to open the Vitals Entry Tool.
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Allergy
- Action – Edit/Delete record
- Allergy
- Reaction
- Severity
- Add a new record
Medications
- Medication
- Strength
- Dosage
- Frequency
- Start Date
- End Date
- Active
- Entry Date
- NDCID
- Edit
- Delete
- Create (see below)
Adding a Medication
- Medicine
- Dose – Select Dose from drop down list
- Frequency – Select frequency from drop down list
- Strength – Enter strength
- Start Date – Date patient stater taking medication
- End Date – Date patient stopped taking medication
- Active – Patient is currently taking medication
- Save Button and Navigate back to Medication List
Amendments
An amendment is an official request made by the patient or patient representative. An amendment can be accepted or denied. If an amenedment is accepted it is the responsibility of the provider to update the patient record accordingly.
- Subject
- Source
- Filter – Apply filters
- Reset – Clear filters
- Subject
- Status
- Source
- Date
- Time