LBV Forms for Opthalmology

From OpenEMR Project Wiki

INTRODUCTION

Ophthalmologists don't use SOAP notes and thus the Layout Based Visit forms serve this community very well. The specialized LBV form, NationNotes, are particularly helpful to incorporate scanned images such as hand drawings or copies of Perimetry. The majority of the forms are intended for colleagues who are comfortable typing their entries in the medical record. Colleagues who are unable to type more than 30 words per minute will find the last form with NationNotes and drop down menus better suited to their needs.

Even though it is possible to put 4 columns into each form, only 2 will fit if Textboxes and Textareas are deployed. Pay close attention to Order, ID, Label, UOR, Data Type, Size, Lists, Label Cols and Data Cols. Options are used if you want to get fancy with your forms. In regards to UOR, if "Required" is chosen for an item, that field must be populated before the note is saved. If you don't want to be "nagged" by the form, choose Optional. The size of the Textbox or Textarea if less than 50 is fairly easy to manipulate. If greater than 50, trial and error will render a nice and neat layout. The values supplied are merely jumping off points because the graphics on your device will be different and therefore the values that you will use need to be customized.

Some of the screenshots had to be divided into smaller images with overlaps because one screenshot could not contain the entire image. The first screenshot depict the top of the form while the following screenshot will display the balance.

Changing the order of each item for a LBV form and editing are self-explanatory.

After saving the configuration of all the LBV forms, a blue tab will appear (it's magic, isn't it?) to the right of the "Administrative" tab for a particular encounter and it will have the label "Layout Based". Click the drop down menu to select the specific form.

COMPREHENSIVE OPHTHALMIC EXAM

Refraction is included in this form. The four subsections are History, Exam, Impression and Plan.

History

CE fig 1.png CE fig 2.png

Exam

CE fig 3, 1.png CE fig 3, 2b.png CE fig 4, 1-10.png CE fig 4, 8-20.png

Impression and Plan

CE fig 5.png CE fig 6.png


INTERMEDIATE OPHTHALMIC EXAM

The four subsections are History, Exam, Impression and Plan.

History and Exam

IE fig 1.png IE fig 2.png

Impression and Plan

IE fig 3b.png IE fig 4.png

ILLUSTRATION

This form provides entry for 2 scanned images using NationNotes. The image must be scanned first and uploaded to the "Documents" module of the Patient Information Screen. Right click on the image to copy it. Click within the body of the NationNote, paste the image and save it in the NationNote. This form can be used separately or in conjunction with another form such as the Intermediate Opthalmic Exam. If you have only 1 image for a particular encounter, the unused NationNote will disappear. Ill fig 1.png Ill fig 2.png

PERIMETRY EXAM

History, Exam, Visual Fields, Interpretation, Impression and Plan comprise the 6 subsections.

History and Exam

PE fig 1.png PE fig 2.png

Visual Fields and Interpretation

There are 2 NationNotes for bilateral Visual Fields. Follow the instructions given above to incorporate them into the medical record. PE fig 3b.png PE fig 4.png

Impression and Plan

PE fig 5.png PE fig 6.png

SPECTACLE CHECK

This is a form for a visit wherein a patient is having difficulties with glasses that had been previously prescribed. The 3 subsections are the Spectacle Check, Impression and Plan. SC fig 1.png SC fig 2.png SC fig 3.png

A-SCAN EXAM

This form is used for the measurement of the Intra-ocular Lens to be implanted during Cataract Extraction. A NationNote was added for the scanned A-scan print-out. Scan fig 1.png Scan fig 2.png

PRE-OPERATIVE EXAM

This form has 4 subsections: History, Exam, Impression and Plan.

History and Exam

Pre fig 1.png Pre fig 2.png

Impression and Plan

Pre fig 3.png Pre fig 4.png


POST-OPERATIVE EXAM

There are also 4 subsections in this form, namely, History, Exam, Impression and Plan.

History and Exam

A NationNote had been included for an unusual finding that cannot be described adequately in words alone and where a hand drawing or a photograph contributes to a better understanding of the clinical finding. Pt fig 1.png Pt fig 2.png

Impression and Plan

Pt fig 3.png Pt fig 4.png

COMPREHENSIVE OPHTHALMIC EXAM FOR THE NON-TYPIST

This form is analogous to the Comprehensive Ophthalmic Exam above.

History

With exception of the field for the time, the other fields are constructed with NationNotes with stock phrases. Clicking one of these phrases will transfer it into the body of the WYSIWYG editor.

Nt1.PNG Nt2.PNG Nt3.png Nt4.png Nt5.png Nt6.png Nt7.PNG Nt8.png Nt9.png Nt10.png Nt11.png Nt12.png Nt13.png

Exam

The Visual Acuities, old prescription and the Refraction were constructed with Listboxes and drop down menus. The Visual Acuities and the last Listbox in each group has an area for additional comments such as pinholes, contact lenses correction, prisms or base curves.

Nt14.png Nt15.png Nt16.png Nt17.png Nt18.png Nt19.png Nt20.PNG Nt21.png Nt22.png Nt23.png Nt24.png Nt25.png

Impression and Plan

Both these sections are identical to that in the Comprehensive Ophthalmic Exam above, hence no screenshots were included.

OTHER NON-TYPIST FORMS

Other forms requiring minimal typing can be constructed with portions of the the last form in this article.

CONCLUSION

That wasn't so bad, was it? This exercise requires patience and perseverance, not a ton of heavy duty cogitation. Now that you know how to construct a Layout Based Visit Form, go roll your own and impress your friends!

If your friends are well acquainted with your many fine attributes and there is no need to impress them, the ophthalmology_nt_lbv.sql file for the last form and the ophthalmology_1_lbv.sql file for the balance of the forms can be found in fsgl's 8/3/13 Forum post.



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