N
Nephron
Hello all,
I am an Endocrinologist using an electronic medical record in my office
and I believe Onenote2007 is a great companion to my EMR. I have a very
clear plan to use Onenote but I am stumped on how to do a few things. At
the risk of boring you all, I am just going to put my request for help out to
the Onenote commmunity and see if someone offer some solutions.
I have converted to a fabulous electronic medical system over the past 18
months . It allows detailed computerized notes and treatment plans and I use
voice recognition to dictate my notes . I have an office network of
workstations and wireless handheld tablet pcs. I use an application service
provider model . My practice is in Virginia and the server is remote in
Atlanta.
I usually try to stay ontime , but I often find myself running behind
schedule. Once I get behind, the last thing I want to do is mess around with
computer templates , internet delays , and unpredictable wireless tablets . I
find I need a system to write down the basic information 'on the "on the fly"
and then when I have a chance , come back to the patient EMR visit record
and then complete my EMR note.
My EMR allows uploading of documents off my local workstation which then can
be incorporated into a patient medical record documents area or attached
directly to the visit itself. This is where Onenote comes in.
I have this plan to create a Onenote file for each patient encounter and
then to save the file to my desktop where my staff will upload it to the
particular patient record and attach it to the specific visit progress note
for each patient encounter.
I have even created a specific template to use in Onenote . My tablets can
ink these pages and therefore I find myself doing two things at the start of
each visit: I pull up a visit template in my EMR and at the same time I
pull up a Onenote "page " for each patient. I then take hand written notes ,
toggling back to he EMR and using it for orders and prescriptions. After
the encounter , I save the page to a file which is a shared network folder
and my staff then uploads this saved Onenote page to the EMR , attaches it to
the visit and it is then ready for my when I come back , perhaps several
hours later, to use as a reference for completion of the full office EMR note.
My EMR program is able to take Word files off the desktop , store them in
the patients document area and then allow editing . I have found that I can
do the same with Onenote files as long as Onenote is running on the
workstation. However, unlike Word files which can be edited once uploaded to
my EMR patient document area, I cannot edit Onenote files stored in the EMR.
This functionality has not been created for Onenote files.
Ok , so here are my questions:
When I save "pages" which are individual patient encounter notes to my
desktop as a Onenote File, my hand writing is preserved. If I try to save
the Onenote page with my hand writing on it as a SWord document, the program
tries to convert my hand writing into text and it becomes a mess. The
advantage to converting the Onenote file to a Word document is that I could
then upload these documents to my EMR in a word file which could be editied.
Is there a way to save my hand written note in Onenote so that it preserves
the hand writing and it also could be pasted into a Word document as an image
file?
This also would work for me.
Finally , I am struggling with organizing all of this. I basically use
"sections' and I use individual pages from a section for individual patient
visit notes. So, after a few days I have a 'jungle" of pages tabs in one
section of my notebook. It becomes very difficult not to get lost in all this
and I often find myself hunting through these pages and trying to remember
which pages i have saved to the desktop for up loading to my EMR. I have
thought about creating a section for each day of the week, but eventually i
will still be dealing with many pages in each section. What I need is a
system of "page" management where on a given day in the office I am only
dealing with that days patients and not a section which has dozens of pages
from many different days. I need to move the pages to a section which I will
not be using and I need to work out of a section which deals with only that
days patients.
I am also trying to create a system for my staff to use from the point where
they go into the shared desktop network file and grab the pages to upload
into my EMR. I
can imagine these folders getting very ful and that my staff wil have a hard
time rememb ering which files they have already uploaded to the EMR. I was
thinking of having them delete the file after they uploaded it . Any
suggestions?
Thanks for any help,
Regards,
Nephron E-MD
'
'
'
E-MD
I am an Endocrinologist using an electronic medical record in my office
and I believe Onenote2007 is a great companion to my EMR. I have a very
clear plan to use Onenote but I am stumped on how to do a few things. At
the risk of boring you all, I am just going to put my request for help out to
the Onenote commmunity and see if someone offer some solutions.
I have converted to a fabulous electronic medical system over the past 18
months . It allows detailed computerized notes and treatment plans and I use
voice recognition to dictate my notes . I have an office network of
workstations and wireless handheld tablet pcs. I use an application service
provider model . My practice is in Virginia and the server is remote in
Atlanta.
I usually try to stay ontime , but I often find myself running behind
schedule. Once I get behind, the last thing I want to do is mess around with
computer templates , internet delays , and unpredictable wireless tablets . I
find I need a system to write down the basic information 'on the "on the fly"
and then when I have a chance , come back to the patient EMR visit record
and then complete my EMR note.
My EMR allows uploading of documents off my local workstation which then can
be incorporated into a patient medical record documents area or attached
directly to the visit itself. This is where Onenote comes in.
I have this plan to create a Onenote file for each patient encounter and
then to save the file to my desktop where my staff will upload it to the
particular patient record and attach it to the specific visit progress note
for each patient encounter.
I have even created a specific template to use in Onenote . My tablets can
ink these pages and therefore I find myself doing two things at the start of
each visit: I pull up a visit template in my EMR and at the same time I
pull up a Onenote "page " for each patient. I then take hand written notes ,
toggling back to he EMR and using it for orders and prescriptions. After
the encounter , I save the page to a file which is a shared network folder
and my staff then uploads this saved Onenote page to the EMR , attaches it to
the visit and it is then ready for my when I come back , perhaps several
hours later, to use as a reference for completion of the full office EMR note.
My EMR program is able to take Word files off the desktop , store them in
the patients document area and then allow editing . I have found that I can
do the same with Onenote files as long as Onenote is running on the
workstation. However, unlike Word files which can be edited once uploaded to
my EMR patient document area, I cannot edit Onenote files stored in the EMR.
This functionality has not been created for Onenote files.
Ok , so here are my questions:
When I save "pages" which are individual patient encounter notes to my
desktop as a Onenote File, my hand writing is preserved. If I try to save
the Onenote page with my hand writing on it as a SWord document, the program
tries to convert my hand writing into text and it becomes a mess. The
advantage to converting the Onenote file to a Word document is that I could
then upload these documents to my EMR in a word file which could be editied.
Is there a way to save my hand written note in Onenote so that it preserves
the hand writing and it also could be pasted into a Word document as an image
file?
This also would work for me.
Finally , I am struggling with organizing all of this. I basically use
"sections' and I use individual pages from a section for individual patient
visit notes. So, after a few days I have a 'jungle" of pages tabs in one
section of my notebook. It becomes very difficult not to get lost in all this
and I often find myself hunting through these pages and trying to remember
which pages i have saved to the desktop for up loading to my EMR. I have
thought about creating a section for each day of the week, but eventually i
will still be dealing with many pages in each section. What I need is a
system of "page" management where on a given day in the office I am only
dealing with that days patients and not a section which has dozens of pages
from many different days. I need to move the pages to a section which I will
not be using and I need to work out of a section which deals with only that
days patients.
I am also trying to create a system for my staff to use from the point where
they go into the shared desktop network file and grab the pages to upload
into my EMR. I
can imagine these folders getting very ful and that my staff wil have a hard
time rememb ering which files they have already uploaded to the EMR. I was
thinking of having them delete the file after they uploaded it . Any
suggestions?
Thanks for any help,
Regards,
Nephron E-MD
'
'
'
E-MD