- Go to the location in your note where you want the SmartPhrase to be inserted.
- Type the text that you want to save as a SmartPhrase.
- Highlight the text.
- Click the green plus sign.
- Click Continue.
- Name your SmartPhrase starting with the first three letters of your name.
- Create a title by entering a description.
- Click Accept.
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- Click My Tools on the red tool bar.
- Click My SmartPhrases.
- In the User field, delete the current name and type the last name of the person you want to copy from. In PLY, type Wakefield.
- Press Enter.
- Double click Andrew.
- Double click the template or SmartPhrase you want to borrow.
- Click Create Copy.
- Type the name of your new template or SmartPhrase, starting with your initials.
- Click Accept, then Accept again.
- Click Close.
- Close the SmartTools folder next to the five workspace tabs in the upper left side of the screen.
- Let Epic refresh before pulling the copied item into your note.
In training language this is often called "borrowing" or "stealing" a phrase. The actual action is creating your own copy.
- Open a patient chart from Patient Lists.
- Go to the Notes chunky tab.
- Click New Note or Create in NoteWriter.
- Click the SmartPhrase Butler next to the green plus sign.
- Click the template or SmartPhrase you want to pull into your note.
- Click Add and Close.
- Open a patient chart.
- Click the Notes chunky tab.
- Click the ellipses, or three dots, in the upper right corner.
- Click the wrench.
- Enter the Note Type.
- Enter the name of your template in the SmartText field on the upper right side of the pop-up.
- Click Accept.
- Select the template you want by clicking the ghosted star when you hover over it.
- Click Accept.
- Click Create.
- Change the name of your note button in Edit Caption.
- Click Accept.
Your new note button will appear under the chunky tabs.
- Click My Tools in the red tool bar.
- Click New User SmartPhrase in the upper left corner.
- Create your template on the left side of the screen.
- Name your template on the right side of the screen, starting with your initials.
- Open the patient chart.
- Click the Notes chunky tab.
- Click New Note and add the type of note.
- Click the SmartPhrase Butler, the person with a speech bubble, next to the green plus sign.
- Search for the information you want to permanently add to your template.
- Write down the phrase that you want to use.
- Go to your vault by clicking My Tools on the red tool bar.
- Select My SmartPhrases.
- Open the template that you want to edit.
- Add the phrase with @ before and after the phrase.
- Save.
- Click Accept.
Example: To permanently add the patient problem list overview, type @problemoverview@ into your template.
- M = this month.
- M-1 = this day last month.
- MB = beginning of this month.
- ME = end of this month.
- ME-1 = last day of last month.
- N = now.
- N+30 = 30 minutes from now.
- T = today.
- T-1 = yesterday.
- T+1 = tomorrow.
- W+1 = one week from today.
- W-2 = 14 days ago.
- Y = this year.
- Y+1 = one year from today.
- Y-40 = this day 40 years ago.
- Look for the red Epic PLY icon on an HHC computer desktop.
- If you are not on an HHC computer, log in through the HHC Portal.
- Use User ID IPMDM01, IPMDM02, IPMDM03, and so forth.
- Use password train.
- If you want fresh patients later the same day, change the last two numbers of the User ID.
- The Playground normally resets overnight.
The IT Help Desk phone number is 860-545-5699.
No matching PGY-1 questions yet.
.alg
Summary of patient allergies.
.algenc
Patient allergies as of the current encounter, with last reviewed date.
.algp
Patient allergies in prose format.
.allergy
Patient allergies presented in a table.
.ed
Date of the current encounter.
.fdate
Today date in Month, date, year format.
.now
Current time.
.td
Today date.
.fname
Patient first name.
.lname
Patient last name.
.name
Patient full name.
.prefname
Patient preferred name.
.age
Patient age as of today.
.agepeds
Patient age as of today, with months or hours for pediatric patients.
.sex
Patient sex.
.add
Patient full address.
.dob
Patient date of birth.
.ph
Patient phone numbers.
.hmph
Patient home phone number.
.mbph
Patient mobile or cell phone number.
.wkph
Patient work phone number.
.payor
Patient payor and plan information.
.pcp
Patient primary care provider.
.ss
Patient Social Security number.
.mrn
Patient medical record number.
.prefpharmacy
Patient preferred pharmacy, with address and phone number.
.assessplan
Encounter diagnoses in prose format, along with associated orders and order details.
.dx
Encounter diagnoses in table format.
.diag
Encounter diagnoses in table format, along with the orders associated with each diagnosis.
.diagprim
Primary diagnosis with ICD code.
.diagp
Encounter diagnoses in prose format.
.afutappt
A list of all future appointments.
.nextencthisdept
Date of patient next encounter in the current department.
.nextencthisprov
Date of patient next encounter with the current provider.
.lastencthisdept
Date of patient last encounter in the current department.
.lastencthisprov
Date of patient last encounter with the current provider.
.his
"his" or "her".
.caphis
"His" or "Her".
.he
"he" or "she".
.caphe
"He" or "She".
.him
"him" or "her".
.m
"Mr." or "Ms.".
.bmifa
Body mass index-for-age percentile, 0-20 years.
.lbmifa
Body mass index-for-age growth percentile, 2-20 years, for the last visit with height and weight recorded.
.hcfa
Head circumference-for-age percentile, 0-36 months.
.lhcfa
Head circumference-for-age percentile, 0-36 months, for the last visit with head circumference recorded.
.sfa
Stature-for-age percentile, 0-20 years.
.lsfa
Stature-for-age percentile, 0-20 years, for the last visit with height recorded.
.wfa
Weight-for-age percentile, 0-20 years.
.lwfa
Weight-for-age percentile, 0-20 years, for the last visit with weight recorded.
.wfl
Weight-for-recumbent length percentile, 0-36 months.
.lwfl
Weight-for-length percentile, 0-36 months, for the last visit with height and weight recorded.
.wfs
Weight-for-stature percentile, 2-5 years.
.lwfs
Weight-for-stature percentile, 2-5 years, for the last visit with weight and height recorded.
.hmlist
Health Maintenance topics due.
.hmdue
Health Maintenance due soon or overdue.
.alchx
Alcohol history.
.alchxp
Alcohol history in prose format.
.drughx
Drug history.
.drughxp
Drug history in prose format.
.famhx
Family history.
.famhxp
Family history in prose format.
.ob
Status of pregnancy history and information from pregnancy history fields.
.obhxprose
Status of pregnancy history in prose format.
.orlastsmlnk
Information from patient most recent surgery.
.ped
Pediatric history, such as birth weight, birth length, head circumference, discharge weight, and delivery method.
.pmh
Past medical history.
.pmhpnn
Past medical history in prose format, excluding negatives.
.pnmh
Pertinent negatives from a patient past medical history.
.psh
Past surgical history.
.pshp
Past surgical history in prose format.
.pnsh
Pertinent negatives from a patient past surgical history.
.prob
Problem list, not including comments.
.probl
Extended problem list, including comments.
.probp
Problem list in prose format.
.soch
Social history in short form, excluding empty fields.
.sochx
Social history in long form, excluding empty fields.
.sochxp
Social history in prose format.
.tobhx
Tobacco history.
.tobhxp
Tobacco history in prose format.
.imm
Immunization history.
.ims
Most recent immunizations, rather than entire history.
.cmed
Current medications, including changes from current encounter, in table format.
.cmeds
Current medications, including changes from current encounter, in a bulleted list.
.dcmed
Medications discontinued in this encounter.
.encmed
Medication list as of the current encounter.
.encmedp
Medication list as of the current encounter, in prose format.
.med
Current medications that were ordered before the current encounter.
.ltmed
Long-term medication information.
.refill
Requested renewals.
.edd
Estimated date of delivery.
.ga
Estimated gestational age.
.latestusfind
Maternal findings from the latest ultrasound study. Completion match on "latestus" to find related ultrasound SmartLinks.
.mom
In a baby chart, displays mother information using a parameter, such as .mom[age]. Requires a mother-baby link.
.ob
Status of pregnancy history and information from pregnancy history fields.
.obhxprose
Status of pregnancy history in prose format.
.encord
Orders placed during the encounter, including comments, scheduling instructions, and order-specific questions with answers and comments.
.encordnm
Orders placed during the encounter, names only.
.patinstr
Patient instructions from the encounter.
.probapnotes
Problem-based Assessment and Plan notes created in this encounter.
.lastapnotes
Last Assessment and Plan note written for each problem on the problem list.
.carecoord
Patient care coordination note.
.probdiag
Problem-based Assessment and Plan notes created in this encounter and other visit diagnoses, along with orders placed in the encounter. Refreshable.
.encprovnmtitle
Encounter provider full name and title.
.refprov
Referring provider for the encounter, in Last Name, First Name format.
.me
Your name.
.pcp
Patient PCP.
.patientcareteam
All providers listed on the patient care team.
.cclistrestname
Name of letter recipients listed in the Cc line.
.resufast
Lab results for selected components. By default, shows the most recent result for each component; you can specify the number of results.
.cc rfv
Chief complaint or reason for visit.
.pnotes
Visit progress notes.
.bsa
Body surface area.
.lastbp
Most recent blood pressure readings.
.lasthc
Most recent head circumference measurement.
.lastht
Most recent height measurements.
.lastpf
Most recent peak flow readings.
.lastpulse
Most recent pulse readings.
.lastresp
Most recent respiration readings.
.lastspo2
Most recent SpO2 readings.
.lasttemp
Most recent temperature readings.
.lastwt
Most recent weight measurements.
.lmp
Date of patient last menstrual period.
.lmpvitals
Visit vital signs with date of patient last menstrual period.
.vitalsm
All vital sign readings for the current encounter, displayed in table format.
.v
Visit vital signs on one line.
.vs
Visit vital signs separated by lines, including comments.
.vsp
Visit vital signs in prose format.
No matching SmartPhrases yet.
No matching EPIC information yet.
Medhub Guide
Guide for PGY-1 interns on remote Epic access and Epic login and setup. Includes step-by-step instructions and login requirements; covers HHC portal and date and time shortcuts.
Open documentEpic Playground Tips
Guide for PGY-1 interns on Epic Playground practice and Epic login and setup. Includes login requirements.
Open documentMedical Provider 200 Workbook
Guide for PGY-1 interns on Epic Playground practice and Epic login and setup. Includes step-by-step instructions, login requirements, and where to find key Epic tools.
Open documentHow to Access the Epic Playground from Home
Four-page tip sheet for accessing Epic Hyperspace Playground (PLY) from home through the HHC portal, including Imprivata approval, Citrix Workspace setup, Hyperspace PLY launch, generic training login, workplace access steps, and the HHC Help Desk number.
Open documentEpic Dot Phrases and SmartLinks Reference
Word reference guide explaining how to insert SmartLinks into notes or SmartPhrases, with 128 SmartLinks organized by clinical category, including allergies, demographics, diagnoses, appointments, history, medications, obstetrics, orders, results, visit information, and vitals.
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mse-documentation-template.docx
The exam is divided into standard observational and interactive domains, often summarized by the mnemonic A-B-C-S-T-I-J:
1. Appearance & Behavior
- Appearance: Notes the patient's apparent age, hygiene, grooming, dress, and any notable physical features (like scars or tremors).
- Behavior & Attitude: Observes eye contact, motor activity (e.g., fidgety, restless), and how the patient interacts with the examiner (e.g., cooperative, guarded, hostile).
2. Speech
- Evaluates the physical characteristics of speech rather than the content itself. Includes rate (slow/rapid), rhythm, volume, and quantity (e.g., poverty of speech or pressured speech).
3. Mood & Affect
- Mood: The patient’s internal, sustained emotional state (e.g., "depressed," "anxious," "euphoric"), usually described in their own words.
- Affect: The outwardly observable expression of emotion (e.g., flat, blunted, full, or labile).
4. Thought Process & Content
- Process: How the patient links ideas together. Evaluates if thoughts are logical, goal-directed, circumstantial, or tangential.
- Content: What the patient is thinking about. Assesses for delusions, obsessions, phobias, and any thoughts of self-harm or violence.
5. Sensorium & Cognition
- Evaluates basic brain function, typically testing:
- Orientation: Awareness of time, place, and person.
- Attention & Concentration: Testing the ability to spell a word backward or do serial subtraction.
- Memory: Immediate, short-term, and long-term recall.
6. Perceptions
- Assesses for sensory distortions or hallucinations (auditory, visual, olfactory, tactile) that occur without an external stimulus.
7. Insight & Judgment
- Insight: The patient's awareness that they have an illness or that their symptoms are abnormal.
- Judgment: The ability to make sensible, realistic decisions and predict the consequences of their actions.
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