Manage Topic Items
INSIGHT EMR has a comprehensive, multi-disciplinary library of topics peritnent to physical rehabilitation specialties that have been developed by a number of clinical experts. The Clinical Content Management System in Insight EMR may be used to modify these topics to meet your organization's specific requirements. You may create new topic items, edit existing topic items, and copy or use topic items in multiple topics. In this article, you will learn about working with topic items: Services, Notes, Measurements, Tests, and Scales.
Using Topic Items in Multiple Topics
Before creating a new topic item, you should make sure that the topic item does not already exist in your topic library. You may use the Search feature in the topic editor to search for topic items. Simply enter a keyword or phrase into the Search field. For example, if you wanted to include gait exercises in a topic you are editing, you could search by that term to see if gait exercises were included in any other topic, as illustrated here.
When selecting one of the items in the search list, you can see which topics include that item in the topic list on the right side of the Topic Editor:
To add the selected topic item to other topics, simply click on any other Topics in the Topic list.
Editing Existing Topic Items
Any category, subcategory or documentation item may be edited as desired. Important note: Any edits made to an item that is used in multiple topics will appear in all of the topics that include that item. If an item is used in multiple topics, but you only want to modify it in one topic, you should copy and paste it into that topic so it is not associated with any other topics, then make the changes.
Creating New Topic Items
New topic items may be created and included in one topic or multiple topics in your system. Here are instructions for adding specific types of topic items.
Creating a Note Item
A Note Item is used when there are multiple possible text based reults. For example, "Location of Pain" may have multiple results. Here is an example of a Note Item for the Knee Topic:
Here is an example of adding a Note Item to a Topic called Anterior Knee Pain. Right click on the category or subcategory you would like to use for the new item (Or select the category or subcategory and click the Note button or F6):
Enter a name for the new item and results as illustrated here:
Creating a Measure Item
Here is an example of a Measure Item for the Knee Topic:
Here is an example of adding a new measurement item called Anterior Step Down to the Anterior Knee Pain Topic. After adding the new measure in the appropriate Category or Subcategory in the Topic, enter the name of the measurement item, the default value, units of measurement, minimum value and maximum value as appropriate. The default value, units of measurement, minimum and maximum values are not required.
Creating a Test Item
Test items are only used for clinical tests or other items that can have only one result. In this example a Test Item called Patellar Compression was added to the Knee Topic. You may declare a default result for Test Items.
Creating a Scale Item
Scale Items are created whenever a range of numeric values are used to indicate a finding. They are most typically used to report the values of numeric scores from condition specific questionnaires. To add a Scale Item, enter the Scale Name, possible results with minimum and maximum values for each result. Score ranges cannot overlap. A default value for the Scale Item may be entered, but is not required.